Selective laser trabeculoplasty in primary open-angle glaucoma: primary versus secondary treatment outcomes
| Autor: | Emil Goosen, Ben Sartorius, Linda Visser |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Trabeculoplasty genetic structures Open angle glaucoma Selective laser trabeculoplasty medicine.medical_treatment Laser Glaucoma Group B 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Chart review Medicine In patient 030212 general & internal medicine business.industry medicine.disease eye diseases Surgery lcsh:RE1-994 030221 ophthalmology & optometry business |
| Zdroj: | African Vision and Eye Health, Vol 75, Iss 1, Pp e1-e6 (2016) |
| DOI: | 10.4102/aveh.v75i1.338 |
| Popis: | Objective: To compare the outcomes of selective laser trabeculoplasty (SLT) on treatmentnaive, primary open-angle glaucoma (POAG) patients with those of SLT on patients previously treated medically and/or surgically. Secondary objectives: To establish whether age, race or gender influenced SLT outcomes. Design: A retrospective chart review of patients who received SLT therapy for POAG between June 2011 and January 2015. Subjects: Group A: Treatment-naive patients (n = 15). Group B: Prior medical therapy and/or prior surgery (n = 69). Methods: Group A: Patients were treated with SLT therapy as first line, with medical treatment added as needed. Group B: Patients were treated with SLT therapy as additional therapy to medication and/or surgery. All patients were followed up for at least 1 year. Main outcome measures: A reduction in intraocular pressure (IOP) of at least 20% from baseline was considered significant. Results: The following percentage reduction in IOP was found in the different groups: Group A 50.7%, Group B 32.0%, Africans 52.2%, Indians 29.8% and Caucasians 28.87%. Conclusion: In our study patients, SLT achieved significant reductions in IOPs in treatmentnaive as well as previously surgically and medically treated eyes with POAG. Statistically significant higher reductions in IOP at 1 year after SLT was seen in treatment-naive eyes, patients older than 70 years when compared with younger patients, female patients (54%) when compared with male patients (30%) and in patients of African (52%) descent compared with Caucasians (30%). |
| Databáze: | OpenAIRE |
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